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Original Question
here is information from the method section:Well-being of Children, or STEPS, which is described in more detail in Lagström et al. (2013). The study was approved by the Ethical Committee of the Southwestern Finland Health Care Dis- trict on February 27, 2007. Families were enrolled in the study during their first visit to the maternity clinic (between 10 and 15 gestational weeks) from 2007 to 2009. From the total cohort population of all expecting families (n 9,811) in the Hospital District of Southwest Finland, 1,387 mothers and 1,325 fathers were willing to participate in the study. The recruitment process of the present study is described in Figure 1. From the STEPS study cohort, 435 families were invited to participate in a substudy focusing more closely on marital and family relationships based on their self-reported marital satisfac- tion at 20 gestational weeks, as measured with the Revised Dyadic Adjustment Scale (RDAS; Busby, Christensen, Crane, & Larson, 1995). Equal numbers of distressed and nondistressed couples were invited to participate. In the present study, distressed and nondistressed families were treated as one study group, but marital satisfaction was controlled for in the analyses. Families expecting twins were excluded. Overall, 153 families (32%; 72 distressed, 81 nondistressed) returned their written consent to participate in the substudy. The participating families had, on average, a higher educational level (fathers 2[1, N 420] 10.45, p .00
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